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Is surgical resection justified for pancreatic ductal adenocarcinoma with distant abdominal organ metastasis? A position paper by experts in pancreatic surgery at the Joint Meeting of the International Association of Pancreatology (IAP) & the Japan Pancreas Society (JPS) 2022 in Kyoto

Hashimoto, Daisuke (författare)
Department of Surgery, Kansai Medical University, Osaka, Japan
Satoi, Sohei (författare)
Department of Surgery, Kansai Medical University, Osaka, Japan; Division of Surgical Oncology, Department of Surgery, University of Colorado of Medicine, Anschutz Medical Campus, CO, Aurora, United States
Fujii, Tsutomu (författare)
Department of Surgery and Science, Faculty of Medicine, Academic Assembly, University of Toyama, Toyama, Japan
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Sho, Masayuki (författare)
Department of Surgery, Nara Medical University, Nara, Japan
He, Jin (författare)
Department of Surgery, Johns Hopkins University School of Medicine, MD, Baltimore, United States
Hackert, Thilo (författare)
Department of General, Visceral and Thoracic Surgery, University Hospital Hamburg Eppendorf, Hamburg, Germany
Del Chiaro, Marco (författare)
Division of Surgical Oncology, Department of Surgery, University of Colorado of Medicine, Anschutz Medical Campus, CO, Aurora, United States
Jang, Jin-Young (författare)
Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea
Gulla, Aiste (författare)
Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
Yoon, Yoo-Seok (författare)
Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
Shan, Yan-Shen (författare)
Department of Surgery, National Cheng Kung University Hospital, Institute of Clinical Medicine, National Cheng Kung University, Tainan, Taiwan
Lou, Wenhui (författare)
Department of General Surgery, Fudan University Zhongshan Hospital, Shanghai, China
Valente, Roberto (författare)
Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap
Furuse, Junji (författare)
Department of Gastroenterology, Kanagawa Cancer Center, Kanagawa, Japan
Oba, Atsushi (författare)
Division of Hepatobiliary and Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
Nagai, Minako (författare)
Department of Surgery, Nara Medical University, Nara, Japan
Terai, Taichi (författare)
Department of Surgery, Nara Medical University, Nara, Japan
Tanaka, Haruyoshi (författare)
Department of Surgery and Science, Faculty of Medicine, Academic Assembly, University of Toyama, Toyama, Japan
Sakai, Ayano (författare)
Department of Surgery and Science, Faculty of Medicine, Academic Assembly, University of Toyama, Toyama, Japan
Yamamoto, Tomohisa (författare)
Department of Surgery, Kansai Medical University, Osaka, Japan
Yamaki, So (författare)
Department of Surgery, Kansai Medical University, Osaka, Japan
Matsumoto, Ippei (författare)
Department of Surgery, Kindai University Faculty of Medicine, Osaka, Japan
Murakami, Yoshiaki (författare)
Department of Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
Takaori, Kyoichi (författare)
Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; Department of Surgery, Nagahama City Hospital, Shiga, Japan
Takeyama, Yoshifumi (författare)
Department of Surgery, Kindai University Faculty of Medicine, Osaka, Japan
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 (creator_code:org_t)
Elsevier, 2023
2023
Engelska.
Ingår i: Pancreatology (Print). - : Elsevier. - 1424-3903 .- 1424-3911. ; 23:6, s. 682-688
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
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  • Pancreatic ductal adenocarcinoma (PDAC) is a typical refractory malignancy, and many patients have distant organ metastases at diagnosis, such as liver metastasis and peritoneal dissemination. The standard treatment for unresectable PDAC with distant organ metastasis (UR-M) is chemotherapy, but the prognosis remained poor. However, with recent dramatic developments in chemotherapy, the prognosis has gradually improved, and some patients have experienced marked shrinkage or disappearance of their metastatic lesions. With this trend, attempts have been made to resect a small number of metastases (so-called oligometastases) in combination with the primary tumor or to resect the primary and metastatic tumor in patients with a favorable response to anti-cancer treatment after a certain period of time (so-called conversion surgery). An international consensus meeting on surgical treatment for UR-M PDAC was held during the Joint Congress of the 26th Meeting of the International Association of Pancreatology (IAP) and the 53rd Annual Meeting of the Japan Pancreas Society (JPS) in Kyoto in July 2022. The presenters showed their indications for and results of surgical treatment for UR-M PDAC and discussed their advantages and disadvantages with the experts. Although these reports were limited to a small number of patients, findings suggest that these surgical treatments for patients with UR-M PDAC who have had a significant response to chemotherapy may contribute to a prognosis of prolonged survival. We hope that this article summarizing the discussion and agreements at the meeting will serve as the basis for future trials and guidelines.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

Conversion surgery
Liver metastasis
Oligometastasis
Pancreatic ductal adenocarcinoma
Peritoneal dissemination
Staging laparoscopy

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